Organization
MINNESOTA CENTER FOR PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD P CRIMMINS PSY. D., L.P. (MANAGER)
(952) 200-7796
Entity
Organization
Contact information
Practice address
2387 UNIVERSITY AVENUE WEST, SAINT PAUL, MN 55114-0107
(952) 200-7796
Mailing address
PO BOX 14107, 2387 UNIVERSITY AVENUE WEST, SAINT PAUL, MN 55114-0107
(952) 200-7796
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4454
MN
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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